Individual provider · Type 1 NPI
Todd Ivan Eggleston, DDS
Oral and Maxillofacial Surgery (Dentist) · Austin, TX
NPI number
1801823216
Active
Practice location
1801 N Lamar Blvd, Suite 102
Austin, TX 78701-1056
Fax (512) 391-0031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 16420 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1801823216
Todd Ivan Eggleston, DDS's National Provider Identifier is 1801823216, issued on Jun 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Austin, TX. The record was last updated on Jul 9, 2007.